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Organization
MEDICAL CLINIC LLC
Active
Organization
MEDICAL CLINIC LLC
Active
Other names
The Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PACE MD (MANAGING PARTNER)
(864) 915-1949
Entity
Organization
Contact information
Practice address
713 WATTS ST, MONTICELLO, MS 39654-9313
(601) 587-7795
Mailing address
PO BOX 518, MONTICELLO, MS 39654-0518
(864) 915-1949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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